| NPI | 1760753487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003888A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28142345A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28142345A) | |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2023-01-12 |